Contemporary Features, Risk Factors, and Prognosis of the Post-Pericardiotomy Syndrome

Imazio, Massimo; Brucato, Antonio; Rovere, Maria Elena; Gandino, Anna; Cemin, Roberto; Ferrua, Stefania; Maestroni, Silvia; Barosi, Alberto; Simon, Caterina; Ferrazzi, Paolo; Belli, Riccardo; Trinchero, Rita; Spodick, David H.; Adler, Yehuda

doi:10.1016/j.amjcard.2011.06.025

Cited by 106 publications

(114 citation statements)

References 18 publications

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“…Na mechanizm immunologiczny rozwoju zaburzeń wskazuje okres latencji przed wystąpieniem objawów, trwający zwykle kilka tygodni, a także odpowiedź na leczenie przeciwzapalne (NSA-ID, kortykosteroidy, kolchicyna) i możliwość nawracania objawów. Czynnikami wyzwalającymi są krwawienie do worka osierdziowego i nacięcie opłucnej [165,166]. Niektóre z tych schorzeń, np.…”

Section: Zespoły Po Uszkodzeniuunclassified

“…Jeszcze mniej jest publikacji dotyczących innych zespołów po uszkodzeniu osierdzia. W opublikowanej ostatnio pracy na temat PPS po zabiegach kardiochirurgicznych [166] wykazano, że ryzyko rozwoju powikłań jest niewielkie: < 4% ryzyko nawrotów, < 2% ryzyko tamponady, żadnych zmian zaciskających w osierdziu, choć pacjenci ci mogą być długo hospitalizowani. Rozwój zaciskającego zapalenia osierdzia odnotowano w ok. 3% przypadków [36].…”

Section: Rokowanieunclassified

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2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

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162

255

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Section: Zespoły Po Uszkodzeniuunclassified

Section: Rokowanieunclassified

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

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162

255

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“…Nowadays, PCIS is regaining importance and interest as an emerging cause of pericarditis, especially in developed countries, due to a great and continuous increase in the number and complexity of percutaneous cardiologic procedures 16 .…”

Section: Etiopathogenesismentioning

confidence: 99%

Post-cardiac injury syndrome in the Emergency Department: mini-review

Voza¹

2018

J Immunological Sci

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The term post-cardiac injury syndrome (PCIS) defines a group of inflammatory diseases involving predominantly the pericardium. The syndrome results from a cardiac injury and refers mainly to post-myocardial infarction pericarditis, post-pericardiotomy syndrome and post-traumatic pericarditis (including iatrogenic conditions appearing after percutaneous interventions).Signs and symptoms are similar to those seen in acute pericarditis and pericardial effusion in other clinical settings. The diagnosis is clinical and could be challenging in the Emergency Department (ED). PCIS should be considered as an alternative diagnosis to acute pericarditis in case of unilateral right-sided, massive, or transudative pleural effusion.Although typically a benign condition, PCIS may result in significant morbidity and potential mortality; tamponade and constrictive pericarditis represent the leading complications. Therefore, early detection is clinically relevant. Currently, a combination of nonsteroidal anti-inflammatory drugs and colchicine is the mainstay treatment for this condition. Colchicine has also appeared to be effective in primary prevention of PCIS after cardiac surgery.The purpose of this article is to review the principle clinical characteristics of PCIS in order to achieve an early diagnosis.

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“…Postpericardiotomy syndrome (PPS) occurs in about 15-30% of patients undergoing cardiac surgery (1)(2)(3)(4)(5)(6)7). It is defined in presence of 2 of 5 criteria: 1) fever occurring at least one week after surgery without underlying infection 2) pleuritic pain, 3) pericardial rub 4) pleural effusion and 5) pericardial effusion (8).…”

Section: Introductionmentioning

confidence: 99%

“…PPS can manifest as acute pericarditis as well (10). The main complications of PPS are development of tamponade and constrictive pericarditis (1)(2)(3)(4)(5)(6). Tamponade complicates PPS in 6.4% and constrictive pericarditis in 2-3% of patients (11,12).…”

Section: Introductionmentioning

confidence: 99%